Ivanov, Svetlin S
Ivanov, Svetlin S is an individual health care provider with primary practice located at 120 Mineola Blvd Suite 100, Mineola NY 11501-4064. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ivanov, Svetlin S can be contacted via phone (516) 663-3010.Contact Information
Primary practice address
120 Mineola Blvd Suite 100
Mineola NY 11501-4064
Phone: (516) 663-3010
Fax: (516) 663-3026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 235678 1 | New York |
Profile Details
| NPI number | 1891783130 |
|---|---|
| LBN Legal business name | Ivanov, Svetlin S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 29th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891783130 | NPPES |
| New York | MEDICAID | 02762783 |
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